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Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. | PSNet

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September 23, 2020 - Study Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. Citation Text: Martin HA, Ciurzynski SM. Situation, Background, Assessment, and Recommendation-Guided Huddles Improve Communication and Teamwork in t…

Adoption of health information technology for medication safety in US hospitals, 2006. | PSNet

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August 07, 2013 - Study Adoption of health information technology for medication safety in US hospitals, 2006. Citation Text: Furukawa MF, Raghu TS, Spaulding TJ, et al. Adoption of health information technology for medication safety in U.S. Hospitals, 2006. Health Aff (Millwood). 2008;27(3):865-75. doi…

Lack of emergency medical services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care. | PSNet

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June 14, 2017 - Study Lack of emergency medical services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care. Citation Text: Laudermilch DJ, Schiff MA, Nathens AB, et al. Lack of emergency medical services documentation is associated with p…

Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events. | PSNet

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December 01, 2011 - Study Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events. Citation Text: Aranaz-Andrés JM, Aibar-Remón C, Vitaller-Murillo J, et al. Incidence of adverse events related to health care in Spain: results of the Spanish Nat…

The relationship between the learning and patient safety climates of clinical departments and residents' patient safety behaviors. | PSNet

psnet.ahrq.gov/issue/relationship-between-learning-and-patient-safety-climates-clinical-departments-and-residents

April 14, 2021 - Study The relationship between the learning and patient safety climates of clinical departments and residents' patient safety behaviors. Citation Text: Silkens MEWM, Arah OA, Wagner C, et al. The Relationship Between the Learning and Patient Safety Climates of Clinical Departments and Re…

Diagnostic discrepancies in the emergency department: a retrospective study. | PSNet

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October 04, 2023 - Study Diagnostic discrepancies in the emergency department: a retrospective study. Citation Text: Schols LA, Maranus ME, Rood PPM, et al. Diagnostic discrepancies in the emergency department: a retrospective study. J Patient Saf. 2024;20(6):420-425. doi:10.1097/pts.0000000000001252. Co…

Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. | PSNet

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April 20, 2011 - Study Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. Citation Text: Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in Academic …

Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients. | PSNet

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November 16, 2022 - Commentary Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients. Citation Text: Anthony MK, Kloos J, Beam P, et al. Innovative Approach to Reconstruct Bedside Handoff: Using Simple Rules of Complexity Science to…

Day of discharge does not impact hospital readmission after major cardiac surgery. | PSNet

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October 16, 2019 - Study Day of discharge does not impact hospital readmission after major cardiac surgery. Citation Text: Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.201…

Medication errors resulting in harm: using chargemaster data to determine association with cost of hospitalization and length of stay. | PSNet

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June 02, 2021 - Study Medication errors resulting in harm: using chargemaster data to determine association with cost of hospitalization and length of stay. Citation Text: McCarthy BC, Tuiskula KA, Driscoll TP, et al. Medication errors resulting in harm: Using chargemaster data to determine association …

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. | PSNet

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March 13, 2012 - Study Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. Citation Text: Kliger J, Blegen MA, Gootee D, et al. Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accur…

Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal. | PSNet

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January 24, 2018 - Review Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal. Citation Text: Stojkovic T, Marinkovic V, Manser T. Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy Settings: A Systematic Review and Criti…

An assessment of basic patient safety skills in residents entering the first year of clinical training. | PSNet

psnet.ahrq.gov/issue/assessment-basic-patient-safety-skills-residents-entering-first-year-clinical-training

February 21, 2018 - Study An assessment of basic patient safety skills in residents entering the first year of clinical training. Citation Text: Comunale ME, Sandoval M, Broussard LT. An Assessment of Basic Patient Safety Skills in Residents Entering the First Year of Clinical Training. J Patient Saf. 2018;…

Breast cancer missed at screening; hindsight or mistakes? | PSNet

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November 15, 2023 - Study Breast cancer missed at screening; hindsight or mistakes? Citation Text: Hovda T, Larsen M, Romundstad L, et al. Breast cancer missed at screening; hindsight or mistakes? Eur J Radiol. 2023;165:110913. doi:10.1016/j.ejrad.2023.110913. Copy Citation Format: DOI Google …

Novel telephone-based interactive voice response system for incident reporting. | PSNet

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September 08, 2021 - Study Novel telephone-based interactive voice response system for incident reporting. Citation Text: McNiven B, Brown AD. Novel telephone-based interactive voice response system for incident reporting. Jt Comm J Qual Patient Saf. 2021;47(12):809-813. doi:10.1016/j.jcjq.2021.09.010. Cop…

Emergency intubation of children outside of the operating room. | PSNet

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May 27, 2011 - Study Emergency intubation of children outside of the operating room. Citation Text: Long E, Barrett MJ, Peters C, et al. Emergency intubation of children outside of the operating room. Paediatr Anaesth. 2020;30(3):319-330. doi:10.1111/pan.13784. Copy Citation Format: DOI G…

Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration. | PSNet

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August 07, 2024 - Study Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration. Citation Text: Brajovic S, Piazza-Hepp T, Swartz L, et al. Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administratio…

A 60-year-old man with delayed care for a renal mass. | PSNet

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January 31, 2024 - Commentary A 60-year-old man with delayed care for a renal mass. Citation Text: Schiff G. Medical error: a 60-year-old man with delayed care for a renal mass. JAMA. 2011;305(18):1890-8. doi:10.1001/jama.2011.496. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Building a framework for trust: critical event analysis of deaths in surgical care. | PSNet

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June 23, 2009 - Study Building a framework for trust: critical event analysis of deaths in surgical care. Citation Text: Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. Copy Citation Format: Goog…

Department of anesthesiology skilled peer support program outcomes: second victim perceptions. | PSNet

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April 12, 2011 - Study Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Citation Text: Bursch B, Ziv K, Marchese S, et al. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Jt Comm J Qual Patient Saf. 2024;50(6):44…

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